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(6)Tj ET /F1 12 Tf BT 1 0 0 1 392.28 122.79 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 423.61 122.79 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 454.95 122.79 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 486.28 122.79 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 517.6 122.79 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 548.96 122.79 Tm (9)Tj ET endstream endobj 6 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]/XObject<>>>/MediaBox[0 0 612 792]>> endobj 7 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (2)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Information about the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 31.2 746.8 m 274.61 746.8 l S 0.001 w 1 1 1 RG 20.58 w 276.86 746.8 m 580.25 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 90.9 w 31.2 688.81 m 274.61 688.81 l S 0.001 w 1 1 1 RG 90.9 w 276.86 688.81 m 580.25 688.81 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 630.82 m 274.61 630.82 l S 0.001 w 1 1 1 RG 20.58 w 276.86 630.82 m 580.25 630.82 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 607.99 m 274.61 607.99 l S 0.001 w 1 1 1 RG 20.58 w 276.86 607.99 m 580.25 607.99 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 585.16 m 274.61 585.16 l S 0.001 w 1 1 1 RG 20.58 w 276.86 585.16 m 580.25 585.16 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 562.33 m 274.61 562.33 l S 0.001 w 1 1 1 RG 20.58 w 276.86 562.33 m 580.25 562.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 758.22 m 582.46 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 735.39 m 582.46 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 642.23 m 582.46 642.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 619.41 m 582.46 619.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 596.58 m 582.46 596.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 573.74 m 582.46 573.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 550.91 m 582.46 550.91 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 759.29 m 30.07 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 275.73 759.29 m 275.73 549.84 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 759.29 m 581.38 549.84 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 742.03 Tm (Name of care home:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 742.03 Tm (Hawthorne Lodge)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 719.2 Tm (Address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 719.2 Tm (164/166 Hawthorne Road )Tj ET /F1 12 Tf BT 1 0 0 1 279.71 701.62 Tm (Bootle)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 684.04 Tm (Liverpool)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 666.46 Tm (Merseyside)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 648.88 Tm (L20 3AR)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 626.05 Tm (Telephone number:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 626.05 Tm (01519333323)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 603.22 Tm (Fax number:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 580.39 Tm (Email address:)Tj ET /F1 12 Tf BT 1 0 0 1 279.71 580.39 Tm (Lea@hawthornelodge.co.uk)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 557.56 Tm (Provider web address:)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 521.61 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 35.16 w 31.2 494.83 m 353.25 494.83 l S 0.001 w 1 1 1 RG 35.16 w 355.5 494.83 m 565.9 494.83 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 464.71 m 353.25 464.71 l S 0.001 w 1 1 1 RG 20.58 w 355.5 464.71 m 565.9 464.71 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 31.2 441.89 m 353.25 441.89 l S 0.001 w 1 1 1 RG 20.58 w 355.5 441.89 m 565.9 441.89 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 513.54 m 568.1 513.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 476.13 m 568.1 476.13 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 453.3 m 568.1 453.3 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 430.47 m 568.1 430.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 514.62 m 30.07 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 354.37 514.62 m 354.37 429.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 514.62 m 567.02 429.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 497.36 Tm (Name of registered provider\(s\):)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 497.36 Tm (Stirrupview Limited Property & )Tj ET /F1 12 Tf BT 1 0 0 1 358.35 482.77 Tm (Estates)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 459.95 Tm (Type of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 459.95 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 437.11 Tm (Number of places registered:)Tj ET /F1 12 Tf BT 1 0 0 1 358.35 437.11 Tm (25)Tj ET /F1 10 Tf BT 1 0 0 1 28.35 418.17 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 66.24 w 32.32 374.73 m 564.47 374.73 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 410.1 m 567.8 410.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 387.27 m 567.8 387.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 297.24 364.43 m 567.8 364.43 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 341.61 m 567.8 341.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 411.17 m 30.07 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.32 388.34 m 298.32 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 432.52 365.51 m 432.52 340.53 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 411.17 m 566.72 340.53 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 393.91 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 371.08 Tm (Category\(ies\) :)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 371.08 Tm (Number of places \(if applicable\):)Tj ET /F1 12 Tf BT 1 0 0 1 302.3 348.25 Tm (Under 65)Tj ET /F1 12 Tf BT 1 0 0 1 436.5 348.25 Tm (Over 65)Tj ET 1 1 1 RG 35.16 w 31.2 319.52 m 297.25 319.52 l S 0.001 w 35.16 w 299.5 319.52 m 429.25 319.52 l S 0.001 w 35.16 w 431.5 319.52 m 565.9 319.52 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 338.23 m 568.1 338.23 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 300.82 m 568.1 300.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 339.31 m 30.07 299.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 298.37 339.31 m 298.37 299.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 430.37 339.31 m 430.37 299.74 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 339.31 m 567.02 299.74 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 322.05 Tm (old age, not falling within any other )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 307.46 Tm (category)Tj ET /F1 12 Tf BT 1 0 0 1 302.35 322.05 Tm (0)Tj ET /F1 12 Tf BT 1 0 0 1 434.35 322.05 Tm (25)Tj ET 0.95294 0.95294 0.95294 RG 101.73 w 32.32 227.33 m 564.77 227.33 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 257.61 m 567.8 257.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 280.45 m 567.8 280.45 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 257.61 m 568.1 257.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 176.46 m 568.1 176.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 281.52 m 30.07 175.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 566.72 281.52 m 566.72 175.39 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 264.26 Tm (Conditions of registration:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 241.43 Tm (The registered person may provide the following category of service only: Care home )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 226.85 Tm (only - Code PC to service users of the following gender: Either whose primary care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 212.27 Tm (needs on admission to the home are within the following categories: Old age, not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 197.69 Tm (falling within any other category - Code OP The maximum number of service users who )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.11 Tm (can be accommodated is: 25)Tj ET 0.95294 0.95294 0.95294 RG 20.58 w 31.2 161.68 m 315.25 161.68 l S 0.001 w 1 1 1 RG 20.58 w 317.5 161.68 m 346.55 161.68 l S 0.001 w 20.58 w 348.8 161.68 m 377.9 161.68 l S 0.001 w 20.58 w 380.15 161.68 m 409.2 161.68 l S 0.001 w 20.58 w 411.45 161.68 m 440.55 161.68 l S 0.001 w 20.58 w 442.8 161.68 m 471.9 161.68 l S 0.001 w 20.58 w 474.15 161.68 m 503.2 161.68 l S 0.001 w 20.58 w 505.45 161.68 m 534.55 161.68 l S 0.001 w 20.58 w 536.8 161.68 m 565.9 161.68 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 173.09 m 568.1 173.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 150.26 m 568.1 150.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 174.17 m 30.07 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 316.37 174.17 m 316.37 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 347.67 174.17 m 347.67 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 379.02 174.17 m 379.02 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 410.32 174.17 m 410.32 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 441.67 174.17 m 441.67 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 473.02 174.17 m 473.02 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 504.32 174.17 m 504.32 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 535.67 174.17 m 535.67 149.18 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 174.17 m 567.02 149.18 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 156.9 Tm (Date of last inspection)Tj ET 0.95294 0.95294 0.95294 RG 17 w 31.2 138.38 m 565.9 138.38 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 128.76 m 568.1 128.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 129.84 m 30.07 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 129.84 m 567.02 34.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 148.01 m 568.1 148.01 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 128.76 m 568.1 128.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 35.8 m 568.1 35.8 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 149.09 m 30.07 127.68 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 149.09 m 567.02 127.68 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 134.82 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 134.82 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 35.5 115.57 Tm (Hawthorne Lodge is registered to provide personal care for twenty five older people. )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 98.57 Tm (The home is a mock Tudor style building located on the corner of two busy streets in )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 81.57 Tm (Bootle. Due to its location there is good access to public transport and many local )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 64.57 Tm (facilities are a short journey away. The shared areas include two lounges, a dining )Tj ET /F1 12 Tf BT 1 0 0 1 35.5 47.58 Tm (room and small back garden. Bedrooms are either single or double rooms. The home )Tj ET endstream endobj 8 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 9 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (3)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 17 w 31.2 776.72 m 565.9 776.72 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 768.18 m 30.07 576.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 768.18 m 567.02 576.77 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.1 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 767.1 m 568.1 767.1 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.85 m 568.1 577.85 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 766.02 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.02 787.43 m 567.02 766.02 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 35.5 773.16 Tm (Brief description of the )Tj ET /F1 12 Tf BT 1 0 0 1 177.31 773.16 Tm (care home)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 756.16 Tm (has a passenger lift and there are chair lifts to access rooms that have a number of )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 739.16 Tm (stairs to them. A keypad fitted to the front door and other doors are alarmed so that )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 722.16 Tm (staff are aware of and can offer assistance to any resident who wishes to go out. )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 705.16 Tm (Bathrooms have equipment to help residents with bathing arrangements. Residents )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 688.16 Tm (have the use of a call bell with an alarm facility.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 671.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 654.16 Tm (CCTV cameras view public areas only. There is car parking space to the side of the )Tj ET /F1 12 Tf BT 1 0 0 1 33.25 637.16 Tm (premises.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 620.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 33.25 603.16 Tm (The weekly fee rate is three hundred and eighty three pounds a week.)Tj ET /F1 12 Tf BT 1 0 0 1 33.25 586.16 Tm ()Tj ET endstream endobj 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 11 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (4)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 745.27 Tm (What we found:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 268.44 w 31.2 599.86 m 580.26 599.86 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 735.21 m 582.46 735.21 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 464.52 m 582.46 464.52 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 736.28 m 30.07 463.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 736.28 m 581.38 463.44 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 719.02 Tm (The key inspection for this home was conducted on 19th August 2009. Following the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 704.44 Tm (inspection the home was rated by the Commission as poor, zero stars. This unannounced )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 689.86 Tm (random inspection took place to monitor progress in relation to requirements issued at )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 675.28 Tm (the key inspection. People accommodated at the home must receive a safe service. This )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 660.7 Tm (inspection will not change the Commission's rating of the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 646.12 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.54 Tm (The medicine requirements were not assessed at this time. The Commission's pharmacist )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.96 Tm (will be conducting a pharmacy inspection at a later date to follow up on the last pharmacy )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 602.38 Tm (inspection and formal action taken by us to improve medicine administration in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 587.8 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 573.22 Tm (The random inspection was conducted by two inspectors for approximately eight hours. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 558.64 Tm (We met with the manager, and an external care consultant who has been brought in to )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 544.06 Tm (help the manager improve the service. Mr Hornby, the owner was present for the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 529.48 Tm (feedback. To find out what people thought of the home we met with residents, visitors )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 514.9 Tm (and staff. We also undertook a tour of the premises and looked at records relevant to the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 500.32 Tm (service. For example, care records, staff training and recruitment, policies and procedures )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 485.74 Tm (and health and safety. Our findings from the inspection are stated under 'what the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 471.16 Tm (service does well' and 'what the service could do better'.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 444.2 Tm (What the care home)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 175.95 444.2 Tm (does well:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 391.58 w 31.2 238.34 m 580.26 238.34 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 435.26 m 582.46 435.26 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 582.46 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 436.33 m 30.07 40.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 436.33 m 581.38 40.35 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 419.07 Tm (This was assessed in relation to improvements made since the key inspection in August )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 404.49 Tm (2009.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 389.91 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 375.33 Tm (Choice of Home:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 360.75 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 346.17 Tm (There are documents providing information regarding the service. These are called the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 331.59 Tm (service user guide and statement of purpose. The Commission's contact details are now )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 317.01 Tm (available in the documents, so that members of the public, residents and staff can )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 302.43 Tm (contact us if they wish to raise a concern or require general advice. The manager said she )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 287.85 Tm (is looking to put a welcome pack together for prospective residents and this will include )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 273.27 Tm (photographs of the accommodation.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 258.69 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 244.11 Tm (It is a requirement to display the Commission's Certificate of Registration under the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 229.53 Tm (Standards Act 2000. At the time of the last key inspection the owner had not displayed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 214.95 Tm (this certificate, which is an offence against this Act. The Certificate of Registration was )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 200.37 Tm (seen to be displayed at this inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 185.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 171.21 Tm (The manager has introduced a new assessment document for assessing residents' health )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 156.63 Tm (and social care needs. There have been no new residents admitted since the last key )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 142.05 Tm (inspection, however we were advised that this form would be used. The assessment looks )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 127.47 Tm (at residents' daily activities of living, past medical history and medication. It is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 112.89 Tm (recommended that if a resident is at risk of falling, then further information is obtained )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 98.31 Tm (from the resident, family member or a relevant health care professional. This is so that )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 83.73 Tm (the staff have the information they need to fully support the person with a plan of care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 69.15 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 54.57 Tm ()Tj ET endstream endobj 12 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 13 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (5)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 265.44 w 31.2 652.51 m 580.26 652.51 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 518.66 m 582.46 518.66 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 517.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 517.58 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Daily Life and Social Activities:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (Social arrangements in the home have improved. Residents have recently enjoyed a trip )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (to Blackpool and also a fire work display. An activities plan was displayed in the main hall )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (and residents and staff were taking part in a 'sing a long' during the afternoon of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (inspection. A relative commented on how much their family member enjoyed the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (Blackpool lights. During the inspection an activities record was put into the care files to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (record what social events the residents have taken part in. This will help to evidence their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (participation and enjoyment for planning future events.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (Residents have a menu which offers them a choice of hot and cold meals at different )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (times of the day. A daily menu was displayed in the main hall. The manager stated that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (new dining room furniture has been purchased as the majority of residents attend this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (room for their meals. Environmental health and cleaning records for the kitchen were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (available to evidence satisfactory standards of food control at this time.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (Relatives spoken with raised no concerns at the time of the inspection and said that their )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (family members were comfortable living at the home.)Tj ET /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 500.59 Tm (What they could do better:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 446.85 w 31.2 267.1 m 580.26 267.1 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 491.65 m 582.46 491.65 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 492.73 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 492.73 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 34.05 475.46 Tm (Health and Personal Care:)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 460.89 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.3 Tm (Requirements were given at the last key inspection with regard to recording the care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 431.73 Tm (needs of the residents and ensuring their health care needs were met.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 417.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 402.57 Tm (Resident care files were looked at to assess whether improvements had been made. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 387.98 Tm (care files seen contained a number of care documents and the manager has introduced )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 373.4 Tm (new care plans to help improve the care planning. Concerns remain however, regarding )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 358.83 Tm (the content of the care plans and associated documents. Care plans seen did not record )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 344.24 Tm (accurately residents' current health needs and staff did not have all the relevant )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 329.67 Tm (information they needed to support them safely. Basic details had been recorded only. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 315.08 Tm (There is risk therefore that the residents' care needs are not properly identified and they )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 300.51 Tm (do not receive person centered care to promote their health. This was noted in different )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.92 Tm (areas, for example, residents who have repeated falls at the care home and needed )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 271.35 Tm (hospital treatment, or residents who needed extra support with pressure area care or diet )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 256.77 Tm (so that staff could care for them appropriately.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.18 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 227.6 Tm (With regards to health monitoring, staff must be aware of when to contact external )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 213.02 Tm (health professionals to seek advice and support. This is particularly important for )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 198.45 Tm (residents who have repeated falls. Care files looked at showed that there is a lack of staff )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 183.87 Tm (awareness on how to provide the care and support they need, to seek advice at the )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 169.29 Tm (appropriate time and how to manage the risks to help keep them safe.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 154.71 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 34.05 140.13 Tm (There was no evidence to support the fact that residents and/or their relatives had given )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 125.54 Tm (their consent to the plan of care or had been involved with any care reviews. This is )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 110.96 Tm (important when a resident has suffered a fall or change is instigated in care or treatment. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 96.39 Tm (They should be advised at at all times regarding this as a mark of respect and to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 81.81 Tm (good communication. Some monthly care reviews had been completed by the staff. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 67.22 Tm (These were a statement rather than a summary of care over a period of time and again )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.65 Tm (did not always reflect a resident's current health. For example, the number of falls a )Tj ET endstream endobj 14 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 15 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (6)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (resident has had, factors that may contribute to them and how the risks are being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (managed. This information helps to protect their welfare.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (A number of risk assessments for the residents were seen, for example, moving a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (resident safely, their nutrition and dependency on staff. These like the care plans were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (only completed in basic detail rather than giving staff up to date detailed information )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (regarding the risk and how best to minimise it. Information recorded on the current care )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (plans and the lack of risk management place people at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (Accident reports were seen in relation to residents' falls. These had basic details of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (incident and apart from one, the report did not record whether the families were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (informed. Daily care records and the hand over sheets completed by the staff did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (always record the accidents and there was none or little written evidence with regard to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (the support given by staff following a fall. It is strongly recommended that record keeping )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (be improved aas a lack of written information relating to incidents has the potential to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (place people at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (Environment:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (At the last key inspection in August 2009 the fly screens at the kitchen windows were )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (torn. These were replaced but are now torn again. It is recommended that new screens )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (be purchased to help ensure good environmental standards in the kitchen.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (Hawthorne Lodge is registered for twenty five older people. At the time of the inspection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (seventeen people were accommodated. A tour of the building took place and it was noted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (that a number of areas still require attention to improve the accommodation for the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (residents. Some of the issues identified put the people living in the home at potential risk )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (and we issued some immediate requirements so that these could be addressed urgently.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (There were six requirements issued at the last inspection, the home have tried to address )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (some of these and have made some improvements. For example, there is now a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (maintenance book so that staff can document any maintenance work needed on a daily )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (basis and this can be attended to and an audit trail can be provided. The front and side of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (the building has had some paint work completed. There are now hand wash facilities in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (the toilets and bathrooms. The dining room has been decorated. There is also a fire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (maintenance contract so that the fire system can be upgraded. Some areas of the home, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (notably the bedrooms, are now cleaner than on the previous inspection. The trailing plant )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (across one bedroom window has been removed so that the person can now see out the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (window and there is more light.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (Despite these improvements however, we remain concerned that lack of progress in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (many areas still leaves the home poor in terms of overall presentation and maintenance.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (The following was observed and remain unchanged from the previous inspection three )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (months ago. A number of bedrooms viewed required decoration and new furniture. For )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (example, some beds had no bed heads. One bed observed had a broken bed head which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (was leaning at an angle. One wardrobe was in a poor state of repair and another )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (wardrobe had doors that would not close. Window restrictors have been repaired, so that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (people are safer from the risk of falls from upper level windows. The nature of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (placement of the restrictors means however, that it is very difficult for people to open )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (and close windows effectively. This means that rooms cannot be ventilated. In two )Tj ET endstream endobj 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 17 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (7)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (bedrooms windows cannot be closed at all, as the ropes that work the closing mechanism )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (have been removed without any recourse to an alternative method. These rooms may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (therefore be cold and difficult to heat. There were numerous other 'snagging' )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (maintenance jobs that needed to be attended to, such as the lack of a cold water tap in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (one room and a soap dispenser loose in one toilet so that it would not work properly.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (The shared room identified on the previous inspection still has no screening available to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (ensure privacy. We discussed the need for this with care staff as, although no longer )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (urgent as the second person sharing has now been given their own room, this would still )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (be needed in the future if people were to share. We would strongly recommend the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (introduction of fixed curtains, as these can be easily manipulated by elderly people and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (would therefore provide more independence.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (A number of bedrooms were also being used for general storage, for example mattresses )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (and odd items of furniture. We were concerned that in one person's bedroom there is a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (disused, broken TV stored. The person concerned said this did not belong to them and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (was possibly some one else's. We identified this to the manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (Secondary double glazing in two bedrooms was still held open by a box. Aesthetically this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (looks poor but more importantly it is again difficult for elderly people to manipulate these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (screens and may actually present as a risk of injury [for example trapped fingers].)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (It was noted that some of the larger bedrooms had pleasant decor but this was not found )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (throughout the home. Bed linen seen still appeared washed out due to general wear )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (although we were advised that new linen has been ordered. Again, some pillows did not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (have pillowcases. Bathrooms remain generally bare and institutional in design. There )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (were bath hoists and a special bath which, would be beneficial for residents with limited )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (mobility but is not used. The bath had not been cleaned for some time and had bits of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (debris and dead leaves in it. The walk in shower on the ground floor is still being used for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (general storage.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (Some areas of infection control in the home have been improved, such as many of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (toilets and bathrooms now have liquid soap and paper towels. This enables the staff and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (residents can wash their hands. We did find however, that both managers and staff have )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (limited understanding of the needs around control of infection in the home, so that there )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (is no overall policy or understanding. This is exemplified, and we were particularly )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (concerned, by standards of laundry management and cleanliness of some equipment )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (used for care.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (The laundry was inspected and was found to be in a poor state of hygiene. There was dirt )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (collected on the window frames and ledges and also on water pipes. There were no hand )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (washing facilities, as there was no liquid soap or paper towels. There were no protective )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (aprons or gloves for staff to wear. We observed commode pots underneath the sink and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (were advised that these are cleaned here. This may provide a major source of cross )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (infection, as clean linen and clothing is stored nearby. The door to the garden was left )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (open and there was a regular stream of staff walking through the area to go out side and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (smoke. One resident also wandered into the laundry. We understand that dirty linen and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (used commode pots are taken to the laundry through the dining area. The policy and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (procedure document for the home has been newly formulated but is not specific to the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (home's needs. For example, it states that the home has a designated laundry worker, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (which was not the case.)Tj ET endstream endobj 18 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 19 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (8)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (All of the above puts the people living in the home at risk due to poor adherence to good )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (practice around infection control. We require the manager and provider to review the way )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (laundry is managed and provide a safe service.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (We observed poor cleanliness and hygiene with respect to the maintenance of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (wheelchairs being used for residents. Those in use were dirty and could potentially )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (provide a source of infection. Additionally, the trolley in the dining room was observed to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (be in a poor state of cleanliness. This could potentially provide a source of infection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (We served the manager with an immediate requirement notice for the above so that they )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (could be attended to urgently.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (We made a requirement at the previous inspection for a system of risk assessments to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (undertaken, so that environmental hazards could be identified and then a programme of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (management could be instigated. We found this to be poorly devised, so that the issues )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (we have identified in this section of the report have not been picked up by the managers. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (We were shown the risk assessments carried out so far, since the last visit, and these )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (identified only three areas of the home. Given the urgency of the previous, and new )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (findings, we are surprised that this has not been given greater urgency.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (Another example of poor management of the environment and lack of any progress is the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (smoking area near the dining room. There is a very small smoking lounge for residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (who wish to smoke. The wall paper and hand sink were dirty, the armchairs and carpets )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (had numerous cigarette burns and the ash tray was full. The only positive change has )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (been the installation of an extractor fan. We were concerned that in addition the room )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (has now got a drinks machine installed. The electrical wiring for this is near and around )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (the sink and taps. The manager is trying to get the installation company to remove it but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (we are concerned that there is a general lack of planning and awareness when making )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (such decisions.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (We spoke to the maintenance person who is involved in some routine checks of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (environment but these seem to be carried out arbitrarily without reference to an overall )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (health and safety policy or understanding of why they are important. This is discussed )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (further in the management section. This lack of overall planning means that people may )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (be put at risk.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (Another example of apparent lapse of overall control was the observation we made of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (prescribed lotions for a resident stored in an unsecured cupboard in one bathroom. These )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (must be locked away when not in use. This had also been identified on the previous )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (inspection report. This requirement for safe storage of medicines will be assessed at the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (next pharmacy inspection.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (We also observed people being moved around in wheelchairs without any footrests in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (place. Again, this very obviously puts people at risk of injury. We made an immediate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (requirement for this practice to cease. There are two lounges. One situated on the ground )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (floor and one on the first floor. The ground floor lounge is used by the majority of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (residents. Several of the soft chairs were dirty and in need of cleaning or replacement. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (Again, this has been identified at the last inspection but not acted on. Overall residents )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (are currently still not living in comfortable accommodation and the lack of maintenance in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (relation to health and safety has the potential to place them at risk.)Tj ET endstream endobj 20 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 21 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (9)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 529.07 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 547.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (Complaints and Protection)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (The requirement here is for staff to have training and to have awareness and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (understanding of abuse and how this should be reported if needed. The manager advised )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (us that staff have had training in safeguarding over the last few months and this was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (confirmed by existing records and also by talking to staff in the home. The training )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (consisted of watching a DVD and then completing a questionnaire.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (We spoke with staff who were able to display some understanding of the nature of abuse )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (and how this can be initially reported to the manager of the home. Staff were unaware, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (however, of the wider context of reporting any allegations to statutory bodies such as )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (social services and their role in any investigation. This understanding is important for )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (senior staff particularly who may be left in charge of the care home, so that any issues )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (are dealt with through the proper channels. We would require that the manager )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (reinforces any previous training by ensuring that senior staff in particular are conversant )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (with the contact details for the local safeguarding team. We spoke with the manager who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (said she understood the reporting process but could not produce a copy of the local )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (safeguarding procedures for reference.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (Staffing:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (We looked at the two requirements made previously. These were for adequate )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (procedures for the safe recruitment of staff so that people in the home are protected and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (the induction of staff when they commence employment.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (We looked at four staff records including the new manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (One staff had worked in the home for two years. There were anomalies in the method of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (recruitment. For example a criminal record check had been made [CRB] but this was )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm (dated some two months after the recorded start date. There was no evidence of any )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (Protection of Vulnerable Adults [POVA] check having been made prior to employment to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (help ensure that the person was safe to work with vulnerable people. We were also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (concerned that suitable references were not on file. The references listed in the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (application form had not been taken up and the only reference on file was from another )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (carer working in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (We looked at more recently employed staff files. One staff had started work at the time )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (of the last inspection and had been identified as having no staff records at all during the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (inspection. At the time we advised the manager that the person could not work until )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (suitable employment checks had been made. The staff file inspected on this visit )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (contained a CRB disclosure. There is a requirement for two written references however )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (and only one of these was on file. This reference is from a person also not listed on the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (application form who has given a 'character' reference.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (One staff has been employed recently. Again we could find only one reference on file. We )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm (could also not find any reference to a CRB check. The manager stated that she had seen )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (this but could not produce a copy. The staff member concerned said that the CRB had )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (been done. The manager said that such information is kept in a 'confidential file' but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (could not locate the file when we asked for it. There was no actual start date listed on )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (file.)Tj ET endstream endobj 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 23 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (10)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 741.55 w 31.2 414.45 m 580.26 414.45 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 582.46 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 41.47 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (We looked at the manager's staff file. This had again been identified on the previous )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (inspection as breaching regulations around recruitment, as there had been no )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (recruitment checks including CRB completed by the provider [owner]. We had made a )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (requirement that these were to be completed urgently [target date 19.10.09]. We are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (concerned that the checks are still not on file. We were advised that there are problems )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm (with the 'umbrella' body responsible for processing the CRB. The POVA check, which can )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (normally be accessed shortly after application to the CRB was also not on file.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (Overall the failings in the recruitment procedure for the home are still evident and this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (breach of regulations puts people living in the home at risk, as staff may not be suitable )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (to work with vulnerable people.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (The other requirement was for new staff to have an induction programme. We looked at )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (staff records for two staff more recently employed. One staff had a basic induction )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (checklist completed and has also undergone some training in moving and handling, )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (safeguarding [abuse awareness] and fire safety. The staff concerned has also )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (commenced some NVQ \(National Vocational Qualification\) training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (The other staff file contained no evidence of induction. This was for a person who is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (working in the kitchen. There was a 'training matrix' in the staff file but there was nothing )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (written on this. The staff concerned advised us that she needs to update her basic food )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm (hygiene certificate.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (The manager has also completed a staff handbook, so that new staff can be acquainted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (with how the home is run and some key policies and procedures. Overall there have been )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (improvements here although there is still a need to ensure that the induction programme )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm (is in more depth and meets the common induction standards for training.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (Management and administration:)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (We previously required some review of the quality of service be completed. This is so that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (some baseline could be established for developing the service which also includes the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (views of the people living in the home and their supporters [families, advocates etc]. The )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (home have employed an external quality auditor and we were shown the outcome of this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (and the various recommendations. The manager is currently working through the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (recommendations, some of which reflect the findings in this report.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm (We asked for evidence of the providers [owners] input into the care home. Formally this )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (is evidenced by the completion of monthly unannounced visits, where the owner )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (completes their own audit of standards in the home and produces a report [Regulation 26 )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (report]. This provides extra feedback for the manager. We were given only one copy of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (such a report dated June 2009. Given the current nature of the concerns of regulators we )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (are concerned that the provider has not ensured regular and consistent monitoring of the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 133.9 Tm (quality of care in the home. We would require that these visits and reports are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 119.32 Tm (consistently made available to the manager.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 104.74 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 90.15 Tm (A requirement was previously made for all staff to have necessary training in safe )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 75.57 Tm (working practice areas. This was identified in the report as moving and handling, food )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 60.99 Tm (hygiene, infection control and first aid. From looking at records and speaking to staff only )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 46.42 Tm (moving and handling training has been actioned from this list since the last inspection. )Tj ET endstream endobj 24 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 25 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (11)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 1 1 1 RG 644.52 w 31.2 462.96 m 580.26 462.96 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 786.35 m 582.46 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 139.58 m 582.46 139.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 138.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 581.38 787.43 m 581.38 138.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.8 775.41 Tm (Given the findings of the previous inspection and also this inspection in terms of infection )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 760.84 Tm (control issues, the need for training for staff in food hygiene and infection control are )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 746.26 Tm (paramount and need to given urgent priority. There is also no first aid policy available )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 731.67 Tm (and none of the current staff are trained so statutory requirements to provide a trained )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 717.09 Tm (person for first aid are not met. Again these failings put people at risk as staff are not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 702.52 Tm (trained and competent to deliver these areas of care.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 687.93 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 673.35 Tm (We looked at the requirement for fire safety records and fire training to be initiated and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 658.78 Tm (maintained. The manager informed us that the fire officer has been to advise and that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 644.2 Tm (there has been progress in this area. There is a completed fire risk assessment and staff )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 629.61 Tm (have received initial training in fire safety. We looked at some records that are being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 615.03 Tm (maintained and fire alarm checks and checks on emergency lighting are being )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 600.46 Tm (maintained. We are again concerned however, that despite records being made there is )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 585.88 Tm (still alack of action when issues are highlighted. For example the routine audits conducted )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 571.29 Tm (show that that fire doors in the corridor and kitchen are not working. We were shown the )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 556.72 Tm (doors by the maintenance person. The kitchen door has a fire guard apparatus to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 542.14 Tm (the door closes in the event of a fire. It is activated by the sound of the alarm. This is not )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 527.55 Tm (working however and the door was observed to have a wedge underneath it. The fire )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 512.97 Tm (door on the ground floor corridor also has fire guard apparatus. The power light is on but )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 498.39 Tm (we were informed that when the alarm sounds it does not close. This has been recorded )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 483.82 Tm (in the maintenance record since 28/9/09 but no action has been taken to correct it. This )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 469.23 Tm (shows that environmental hazards that are identified are still not acted on.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 454.65 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 440.08 Tm (Our overall impression is that the maintenance person completes arbitrary checks, which )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 425.49 Tm (are not based on any assessed risk or need in terms of planning time to meet an )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 410.92 Tm (appropriate schedule. Those failings recorded [eg fire doors] do not seem to be acted on. )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 396.33 Tm (The maintenance book should now provide an audit trail but there remain a lot of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 381.76 Tm ('snagging' jobs which we observed on the tour of the home. Staff do not seem to be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 367.17 Tm (reporting these things through and there does not seem to be any methodical auditing in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 352.6 Tm (progress.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 338.02 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 323.43 Tm (There is a lack of overall management of health and safety, which starts with the absence )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 308.86 Tm (of an overall policy statement identifying who is responsible for carrying out the policy in )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 294.27 Tm (the first place and also identifying key areas [although some individual policies relating to )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 279.7 Tm (health and safety have been commenced]. There is currently no person in the home who )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 265.11 Tm (has any formal training in health and safety so that overall management can be )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 250.54 Tm (monitored. This includes care staff who have not received basic training in health and )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 235.96 Tm (safety and who may not fully understand their role in maintaining safe standards.)Tj ET /F1 12 Tf BT 1 0 0 1 31.8 221.38 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 31.8 206.79 Tm (The report has highlighted continued and ongoing management failings in a number of )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 192.21 Tm (areas. We spoke to the manager who has been in post for three months and the owner )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 177.63 Tm (regarding this. Although there has been improvements in some areas, these are patchy )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 163.05 Tm (and there has not been any significant progress in meeting the key requirements that )Tj ET /F1 12 Tf BT 1 0 0 1 31.8 148.48 Tm (protect people living in the home.)Tj ET /F1 12 Tf BT 1 0 0 1 28.35 123.52 Tm (If you want to know what action the person responsible for this care home)Tj ET /F1 12 Tf BT 1 0 0 1 483.55 123.52 Tm (is taking )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 107.52 Tm (following this report, you can contact them using the details set out on page 2.)Tj ET endstream endobj 27 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 29 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (12)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 36.25 w 29.47 752.7 m 564.97 752.7 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 773.08 m 568.3 773.08 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 753.83 m 568.3 753.83 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 734.58 m 568.3 734.58 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 774.15 m 27.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 423.22 754.9 m 423.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 468.22 754.9 m 468.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 495.22 754.9 m 495.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 540.22 754.9 m 540.22 733.5 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 774.15 m 567.22 733.5 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 33.75 759.89 Tm (Are there any outstanding requirements from the last inspection?)Tj ET /F1 12 Tf BT 1 0 0 1 429.75 740.64 Tm (Yes)Tj ET /F2 12 Tf BT 1 0 0 1 476.37 742.58 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 501.75 740.64 Tm (No)Tj ET /F2 12 Tf BT 1 0 0 1 546.75 742.58 Tm ()Tj ET 0.95294 0.95294 0.95294 RG 635.4 w 32.32 361.38 m 564.97 361.38 l S 0.001 w 1 1 1 RG 183.96 w 31.2 484.24 m 91.05 484.24 l S 0.001 w 183.96 w 93.3 484.24 m 197.4 484.24 l S 0.001 w 183.96 w 199.65 484.24 m 289.45 484.24 l S 0.001 w 183.96 w 291.7 484.24 m 473.8 484.24 l S 0.001 w 183.96 w 476.05 484.24 m 566.1 484.24 l S 0.001 w 154.8 w 31.2 312.61 m 91.05 312.61 l S 0.001 w 154.8 w 93.3 312.61 m 197.4 312.61 l S 0.001 w 154.8 w 199.65 312.61 m 289.45 312.61 l S 0.001 w 154.8 w 291.7 312.61 m 473.8 312.61 l S 0.001 w 154.8 w 476.05 312.61 m 566.1 312.61 l S 0.001 w 154.8 w 31.2 155.56 m 91.05 155.56 l S 0.001 w 154.8 w 93.3 155.56 m 197.4 155.56 l S 0.001 w 154.8 w 199.65 155.56 m 289.45 155.56 l S 0.001 w 154.8 w 291.7 155.56 m 473.8 155.56 l 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28.99 681.33 m 568.4 681.33 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 609.9 m 568.4 609.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 577.34 m 568.4 577.34 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 391.14 m 568.3 391.14 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 234.09 m 568.3 234.09 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 77.04 m 568.3 77.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 41.42 m 568.3 41.42 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 682.4 m 30.07 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 610.97 m 92.12 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 610.97 m 198.52 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 610.97 m 290.62 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 610.97 m 475.02 576.27 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 682.4 m 567.32 576.27 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 664.12 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 645.7 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 631.12 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 631.12 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 631.12 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 616.54 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 616.54 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 598.72 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 595.72 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 595.72 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 595.72 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 595.72 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 583.57 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 561.16 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 561.16 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 561.16 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.16 Tm (Residents' care plans must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 546.58 Tm (accurately reflect their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 532 Tm (current health and social )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 517.42 Tm (care needs. Staff must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 502.84 Tm (provided with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 488.26 Tm (information they require to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 473.68 Tm (support residents effectively )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 459.1 Tm (and safely)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 441.52 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 426.94 Tm (This will help to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 412.36 Tm (residents' needs are met in a )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 397.78 Tm (safe and supportive manner)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 561.16 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 374.95 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 374.95 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 374.95 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 374.95 Tm (Effective systems must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.37 Tm (put in place to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.79 Tm (any service user who )Tj ET /F1 12 Tf BT 1 0 0 1 426.5 345.79 Tm (self-)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 331.21 Tm (medicates)Tj ET /F1 12 Tf BT 1 0 0 1 355.73 331.21 Tm ( is assessed to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 316.63 Tm (ensure they can do it safely.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.05 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.47 Tm (This is important so that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 269.89 Tm (people receive the right )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 255.31 Tm (amount of support to do it )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 240.73 Tm (safely.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 374.95 Tm (12/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 217.9 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 217.9 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 217.9 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 217.9 Tm (Effective systems must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.32 Tm (put in place to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.74 Tm (staff responsible for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.16 Tm (administration of medication )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.58 Tm (are competent to do so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145 Tm (safely.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 127.42 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 112.84 Tm (This will help make sure they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.26 Tm (have the necessary skills to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.68 Tm (do it safely.)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 217.9 Tm (12/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 60.85 Tm (4)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 60.85 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 60.85 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 60.85 Tm (Effective systems must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 46.27 Tm (put in place for the )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 60.85 Tm (12/11/2009)Tj ET endstream endobj 30 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 31 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 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34.05 494.55 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 494.55 Tm (19)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 494.55 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 494.55 Tm (A risk assessment must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 479.98 Tm (address all risks within the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 465.39 Tm (environment. 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0 1 294.55 75.39 Tm (residents)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 165.88 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 52.56 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 52.56 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 52.56 Tm (16)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 52.56 Tm (Residents require new )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 52.56 Tm (19/10/2009)Tj ET endstream endobj 34 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 35 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (15)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 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0.001 w 169.38 w 476.05 256.63 m 566.1 256.63 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 569.06 m 568.3 569.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.17 m 568.3 441.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.44 m 568.3 342.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 683.45 m 30.07 169.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 683.45 m 567.22 169.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.3 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 683.45 m 92.17 169.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 683.45 m 198.52 169.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 683.45 m 290.57 169.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 683.45 m 474.92 169.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 714.92 m 568.4 714.92 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 682.37 m 568.4 682.37 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 569.06 m 568.3 569.06 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 441.17 m 568.3 441.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 342.44 m 568.3 342.44 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 170.81 m 568.3 170.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 716 m 92.12 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 716 m 198.52 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 716 m 290.62 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 716 m 475.02 681.29 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 681.29 l S 0.001 w [] 0 d /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 769.15 Tm (Outstanding statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 750.72 Tm (These are requirements that were set at the previous inspection, but have still not )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 736.15 Tm (been met.)Tj ET /F1 12 Tf BT 1 0 0 1 95.57 736.15 Tm ( )Tj ET /F1 12 Tf BT 1 0 0 1 104.02 736.15 Tm (They say what the registered person had to do to meet the Care Standards )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 721.57 Tm (Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 96.58 721.57 Tm ( Regulations 2001 and the National Minimum Standards.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 703.74 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 700.74 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 700.74 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 700.74 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 700.74 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 688.59 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 671.43 Tm (furniture and fittings for their )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 656.85 Tm (private rooms)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 636.28 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 292.3 621.7 Tm (This will help to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 607.11 Tm (residents live in private )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 592.53 Tm (accommodation to assure )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 577.96 Tm (their comfort and privacy)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 552.88 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 552.88 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 552.88 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 552.88 Tm (All areas of the home must )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 538.29 Tm (be kept clean)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 520.72 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 506.14 Tm (This will help to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 491.55 Tm (residents live in a clean )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 476.98 Tm (environment where the risk )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.39 Tm (of cross infection is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 447.82 Tm (minimised)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 552.88 Tm (30/09/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 424.98 Tm (14)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 424.98 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 424.98 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 424.98 Tm (Staff must be recruited )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 410.4 Tm (safely)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 392.83 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 378.24 Tm (This will help to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 363.67 Tm (ongoing protection of people )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 349.08 Tm (who use the service)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 424.98 Tm (19/10/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 326.26 Tm (15)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 326.26 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 326.26 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 326.26 Tm (Staff require training in safe )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 311.67 Tm (working practice areas. )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 297.1 Tm (These are particualy )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 282.52 Tm (specified for infection control, )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 267.93 Tm (first aid, and health and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 253.35 Tm (safety)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 235.77 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 221.2 Tm (This will help to ensure they )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 206.62 Tm (have the skills and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 192.04 Tm (knowledge to undertake their )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 177.46 Tm (work safely)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 326.26 Tm (19/10/2009)Tj ET endstream endobj 36 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 37 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (16)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 16 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 770.27 Tm (Requirements and recommendations from this inspection:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 754.85 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 643.92 w 32.32 424.58 m 564.97 424.58 l S 0.001 w 1 1 1 RG 183.96 w 31.2 568.14 m 91.05 568.14 l S 0.001 w 183.96 w 93.3 568.14 m 197.4 568.14 l S 0.001 w 183.96 w 199.65 568.14 m 289.45 568.14 l S 0.001 w 183.96 w 291.7 568.14 m 473.8 568.14 l S 0.001 w 183.96 w 476.05 568.14 m 566.1 568.14 l S 0.001 w 169.38 w 31.2 389.22 m 91.05 389.22 l S 0.001 w 169.38 w 93.3 389.22 m 197.4 389.22 l S 0.001 w 169.38 w 199.65 389.22 m 289.45 389.22 l S 0.001 w 169.38 w 291.7 389.22 m 473.8 389.22 l S 0.001 w 169.38 w 476.05 389.22 m 566.1 389.22 l S 0.001 w 198.54 w 31.2 203.01 m 91.05 203.01 l S 0.001 w 198.54 w 93.3 203.01 m 197.4 203.01 l S 0.001 w 198.54 w 199.65 203.01 m 289.45 203.01 l S 0.001 w 198.54 w 291.7 203.01 m 473.8 203.01 l S 0.001 w 198.54 w 476.05 203.01 m 566.1 203.01 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 475.04 m 568.3 475.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 303.4 m 568.3 303.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 662.32 m 30.07 101.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 662.32 m 567.22 101.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.3 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 662.32 m 92.17 101.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 662.32 m 198.52 101.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 662.32 m 290.57 101.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 662.32 m 474.92 101.54 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 748.78 m 568.4 748.78 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 693.79 m 568.4 693.79 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 661.24 m 568.4 661.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 475.04 m 568.3 475.04 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 303.4 m 568.3 303.4 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 102.61 m 568.3 102.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 749.86 m 30.07 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 694.87 m 92.12 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 694.87 m 198.52 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 694.87 m 290.62 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 694.87 m 475.02 660.17 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 749.86 m 567.32 660.17 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 732.6 Tm (Immediate requirements:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 715.02 Tm (These are immediate requirements that were set on the day we visited this care home. )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 700.44 Tm (The registered person had to meet these within 48 hours.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 682.62 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 679.62 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 679.62 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 679.62 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 679.62 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 667.47 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 645.06 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 645.06 Tm (22)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 645.06 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 645.06 Tm (All equipment / aids used for )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 630.48 Tm (people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 615.9 Tm (must be maintained and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 601.32 Tm (used in accordance with )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 586.74 Tm (safety requirements. All )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 572.16 Tm (wheelchairs in use should )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 557.58 Tm (therefore have footrests )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543 Tm (fitted when moving people in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 528.42 Tm (them.)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 510.84 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 496.26 Tm (This will help to ensure the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 481.68 Tm (equipments used safely)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 645.06 Tm (09/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 458.85 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 458.85 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 458.85 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 458.85 Tm (All equipment used to care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 444.27 Tm (for people living in the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 429.69 Tm (must be kept in a clean and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 415.11 Tm (hygienic state.This includes )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 400.53 Tm (wheelchairs in use and the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 385.95 Tm (trolley in the dining area)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 368.37 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 353.79 Tm (This will help to reduce the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 339.21 Tm (risk of cross infection and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 324.63 Tm (protects people living in the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 310.05 Tm (home)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 458.85 Tm (09/11/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 287.22 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 287.22 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 287.22 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 287.22 Tm (The manager must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 272.64 Tm (that there are suitable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 258.06 Tm (procedures in place for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 243.48 Tm (management of the laundry )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 228.9 Tm (which follow good practice )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 214.32 Tm (guidelines regarding infection )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 199.74 Tm (control)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 182.16 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 167.58 Tm (This will help to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 153 Tm (the management of laundry )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 138.42 Tm (does not present as an )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 123.84 Tm (unnecessary source of )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 109.26 Tm (infection)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 287.22 Tm (09/11/2009)Tj ET endstream endobj 38 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 39 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (17)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 739.3 w 32.32 414.45 m 564.97 414.45 l S 0.001 w 1 1 1 RG 125.64 w 31.2 620.86 m 91.05 620.86 l S 0.001 w 125.64 w 93.3 620.86 m 197.4 620.86 l S 0.001 w 125.64 w 199.65 620.86 m 289.45 620.86 l S 0.001 w 125.64 w 291.7 620.86 m 473.8 620.86 l S 0.001 w 125.64 w 476.05 620.86 m 566.1 620.86 l S 0.001 w 154.8 w 31.2 478.39 m 91.05 478.39 l S 0.001 w 154.8 w 93.3 478.39 m 197.4 478.39 l S 0.001 w 154.8 w 199.65 478.39 m 289.45 478.39 l S 0.001 w 154.8 w 291.7 478.39 m 473.8 478.39 l S 0.001 w 154.8 w 476.05 478.39 m 566.1 478.39 l S 0.001 w 154.8 w 31.2 321.35 m 91.05 321.35 l S 0.001 w 154.8 w 93.3 321.35 m 197.4 321.35 l S 0.001 w 154.8 w 199.65 321.35 m 289.45 321.35 l S 0.001 w 154.8 w 291.7 321.35 m 473.8 321.35 l S 0.001 w 154.8 w 476.05 321.35 m 566.1 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683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 753.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (residents)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 648.79 Tm (9)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 648.79 Tm (18)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 648.79 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 648.79 Tm (The manager must ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 634.22 Tm (that all senior staff who may )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 619.64 Tm (be left in charge of the home )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 605.05 Tm (are aware of the local )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.47 Tm (safeguarding policy and how )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.9 Tm (to contact the safeguarding )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 561.32 Tm (team)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543.73 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.16 Tm (This will help to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 514.58 Tm (any allegation of abuse is )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.99 Tm (reported and managed )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 485.42 Tm (appropriately)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 648.79 Tm (17/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 462.58 Tm (10)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 462.58 Tm (29)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 462.58 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.58 Tm (All bedrooms must be )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.01 Tm (checked to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.42 Tm (windows provide for easy )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.85 Tm (and safe ventilation of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 404.27 Tm (home and can be opened and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 389.68 Tm (closed when necessary. This )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 375.11 Tm (is with particular reference to )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 360.52 Tm (those rooms identified on the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 345.95 Tm (inspection visit)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 328.36 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 313.79 Tm (This will help to ensure )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 299.2 Tm (people living in the home can )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 284.63 Tm (moderate the temperature in )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 270.05 Tm (their rooms)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 462.58 Tm (17/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 247.21 Tm (11)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 247.21 Tm (33)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 247.21 Tm (26)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 247.21 Tm (The provider [owner] or )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 232.63 Tm (representative of the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 218.05 Tm (provider must visit and )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 203.48 Tm (complete a report which )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 188.9 Tm (complies with the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 174.32 Tm (requirements of this )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 159.74 Tm (regulation. The report should )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 145.15 Tm (be made available to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 130.57 Tm (manager)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 113 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 98.42 Tm (This will help to ensure that )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 83.83 Tm (the home is being monitored )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 69.25 Tm (by the provider to help )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 54.67 Tm (ensure standards are )Tj ET /F1 12 Tf BT 1 0 0 1 478.9 247.21 Tm (17/12/2009)Tj ET endstream endobj 44 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 45 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (20)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 416.39 w 32.32 575.91 m 564.97 575.91 l S 0.001 w 1 1 1 RG 61.32 w 31.2 653.03 m 91.05 653.03 l S 0.001 w 61.32 w 93.3 653.03 m 197.4 653.03 l S 0.001 w 61.32 w 199.65 653.03 m 289.45 653.03 l S 0.001 w 61.32 w 291.7 653.03 m 473.8 653.03 l S 0.001 w 61.32 w 476.05 653.03 m 566.1 653.03 l S 0.001 w 125.64 w 31.2 557.29 m 91.05 557.29 l S 0.001 w 125.64 w 93.3 557.29 m 197.4 557.29 l S 0.001 w 125.64 w 199.65 557.29 m 289.45 557.29 l S 0.001 w 125.64 w 291.7 557.29 m 473.8 557.29 l S 0.001 w 125.64 w 476.05 557.29 m 566.1 557.29 l S 0.001 w 125.64 w 31.2 429.4 m 91.05 429.4 l S 0.001 w 125.64 w 93.3 429.4 m 197.4 429.4 l S 0.001 w 125.64 w 199.65 429.4 m 289.45 429.4 l S 0.001 w 125.64 w 291.7 429.4 m 473.8 429.4 l S 0.001 w 125.64 w 476.05 429.4 m 566.1 429.4 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 621.24 m 568.3 621.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.35 m 568.3 493.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 685.89 m 30.07 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 685.89 m 567.22 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.3 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 685.89 m 92.17 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 685.89 m 198.52 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.57 685.89 m 290.57 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 474.92 685.89 m 474.92 364.38 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 786.35 m 568.4 786.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 717.36 m 568.4 717.36 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 684.81 m 568.4 684.81 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 621.24 m 568.3 621.24 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 493.35 m 568.3 493.35 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 365.46 m 568.3 365.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 787.43 m 30.07 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.12 718.44 m 92.12 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 718.44 m 198.52 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 290.62 718.44 m 290.62 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 475.02 718.44 m 475.02 683.73 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 787.43 m 567.32 683.73 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 773.16 Tm (Statutory requirements)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 753.16 Tm (These requirements set out what the registered person must do to meet the Care )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 738.59 Tm (Standards Act 2000, )Tj ET /F1 12 Tf BT 1 0 0 1 166.31 738.59 Tm (Regulations 2001 and the National Minimum Standards. The )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 724.01 Tm (registered person\(s\) must do this within the timescales we have set.)Tj ET /F1 10 Tf BT 1 0 0 1 31.2 706.18 Tm (No.)Tj ET /F1 10 Tf BT 1 0 0 1 96.1 703.18 Tm (Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.5 703.18 Tm (Regulation)Tj ET /F1 10 Tf BT 1 0 0 1 294.6 703.18 Tm (Requirement)Tj ET /F1 10 Tf BT 1 0 0 1 479 703.18 Tm (Timescale for )Tj ET /F1 10 Tf BT 1 0 0 1 479 691.03 Tm (action)Tj ET /F1 12 Tf BT 1 0 0 1 292.3 673.88 Tm (effectively maintained and )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 659.29 Tm (that the manager has )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 644.72 Tm (appropriate feedback to )Tj ET /F1 12 Tf BT 1 0 0 1 292.3 630.14 Tm (ensure further improvements)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 605.05 Tm (12)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 605.05 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 605.05 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 605.05 Tm (There must be suitable )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 590.47 Tm (arrangements for the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 575.9 Tm (training of staff in first aid)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 558.32 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 543.73 Tm (This helps ensure that care )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 529.16 Tm (staff have the ability to deal )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 514.58 Tm (with accidents and health )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 499.99 Tm (emergencies)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 605.05 Tm (17/12/2009)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 477.17 Tm (13)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 477.17 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 477.17 Tm (23)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 477.17 Tm (The fire door on the ground )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 462.58 Tm (floor corridor and to the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 448.01 Tm (kitchen must have the )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 433.42 Tm (closing mechanisms fixed, so )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 418.85 Tm (that the doors close correctly)Tj ET /F1 12 Tf BT 1 0 0 1 294.55 401.27 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 294.55 386.68 Tm (This will help to protect )Tj ET /F1 12 Tf BT 1 0 0 1 294.55 372.11 Tm (people in the event of a fire)Tj ET /F1 12 Tf BT 1 0 0 1 478.9 477.17 Tm (17/12/2009)Tj ET 0.95294 0.95294 0.95294 RG 301.41 w 32.32 195.51 m 564.97 195.51 l S 0.001 w 1 1 1 RG 93.48 w 31.2 210.63 m 91.05 210.63 l S 0.001 w 93.48 w 93.3 210.63 m 197.4 210.63 l S 0.001 w 93.48 w 199.65 210.63 m 566.1 210.63 l S 0.001 w 78.9 w 31.2 122.18 m 91.05 122.18 l S 0.001 w 78.9 w 93.3 122.18 m 197.4 122.18 l S 0.001 w 78.9 w 199.65 122.18 m 566.1 122.18 l S 0.001 w 36.81 w 31.2 62.08 m 91.05 62.08 l S 0.001 w 36.81 w 93.3 62.08 m 197.4 62.08 l S 0.001 w 36.81 w 199.65 62.08 m 566.1 62.08 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 28.99 162.76 m 568.3 162.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.61 m 568.3 81.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 259.57 m 30.07 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.22 259.57 m 567.22 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 278.89 m 568.4 278.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.49 m 568.3 258.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 259.57 m 92.17 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.52 259.57 m 198.52 41.47 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 348.46 m 568.4 348.46 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 278.89 m 568.4 278.89 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 258.49 m 568.4 258.49 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 162.76 m 568.3 162.76 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 81.61 m 568.3 81.61 l S 0.001 w [] 0 d [] 0 d 2.25 w 28.99 42.55 m 568.3 42.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 30.07 349.54 m 30.07 257.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 92.17 279.97 m 92.17 257.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 198.47 279.97 m 198.47 257.41 l S 0.001 w [] 0 d [] 0 d 2.25 w 567.32 349.54 m 567.32 257.41 l S 0.001 w [] 0 d /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 34.05 332.27 Tm (Recommendations)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 34.05 314.7 Tm (These recommendations are taken from the best practice described in the National )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 300.11 Tm (Minimum Standards and the registered person\(s\) should consider them as a way of )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 285.54 Tm (improving their service.)Tj ET /F1 10 Tf BT 1 0 0 1 34.05 264.71 Tm (No)Tj ET /F1 10 Tf BT 1 0 0 1 96.15 264.71 Tm (Refer to Standard)Tj ET /F1 10 Tf BT 1 0 0 1 202.45 264.71 Tm (Good Practice Recommendations)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 242.3 Tm (1)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 242.3 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 242.3 Tm (With regards to residents assessments, it is recommended )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 227.73 Tm (that if a resident is at risk of falling, then further )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 213.15 Tm (information is obtained from the resident, family member )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 198.57 Tm (or a relevant health care professional. This will help to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 183.99 Tm (ensure the staff have the information they need to support )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 169.4 Tm (the person.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 146.57 Tm (2)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 146.57 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 146.57 Tm (Residents and/or their families should be advised at at all )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 131.99 Tm (times regarding the care provision. The monthly reviews )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 117.42 Tm (completed by the staff should be a summary of care over a )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 102.83 Tm (period of time rather than a statement. This will help to )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 88.25 Tm (evidence any changes in the care being given.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 65.43 Tm (3)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 65.43 Tm (17)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 65.43 Tm (With regards to ensuring the health of the residents it is )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 50.85 Tm (strongly recomonded that record keeping be improved. 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These were replaced but )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 616.63 Tm (are now torn again. It is recommended that new ones be )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 602.04 Tm (purchased to help ensure good standards of hygiene in the )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 587.47 Tm (kitchen.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 564.64 Tm (5)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 564.64 Tm (24)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 564.64 Tm (Any shared room should have appropriate screens in place )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 550.05 Tm (to ensure privacy. We would strongly recommend that fixed )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 535.47 Tm (curtains are installed as these can be better manipulated by )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 520.9 Tm (people and there ensure greater Independence.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 498.07 Tm (6)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 498.07 Tm (30)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 498.07 Tm (The induction programme needs to be developed further )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 483.48 Tm (with reference to the common induction standards )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 468.9 Tm (produced by skills for care.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 446.08 Tm (7)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 446.08 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 446.08 Tm (There should be an overall written statement of the policy, )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 431.49 Tm (organisation and arrangements for maintaining safe )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 416.92 Tm (working practices. This will help to ensure that the home is )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 402.33 Tm (run in the best interests of both residents and staff.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 379.51 Tm (8)Tj ET /F1 12 Tf BT 1 0 0 1 96.15 379.51 Tm (38)Tj ET /F1 12 Tf BT 1 0 0 1 202.5 379.51 Tm (There should be a designated person responsible for first )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 364.92 Tm (aid on duty at all times to meet health and safety )Tj ET /F1 12 Tf BT 1 0 0 1 202.5 350.35 Tm (requirements.)Tj ET endstream endobj 49 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/MediaBox[0 0 612 792]>> endobj 50 0 obj <>stream 0 J 0.75294 0.75294 0.75294 RG 19.36 w 28.35 20.75 m 583.65 20.75 l S 0.001 w /F1 11 Tf 0 0 0 rg BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 16.38 Tm (Care Homes for Older People)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 491.55 16.38 Tm (Page)Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 522.07 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 11 Tf BT 1 0 0 1 536.06 16.38 Tm ( of )Tj ET /F1 11 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 554.36 16.38 Tm (22)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 14 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 768.28 Tm (Reader Information)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 0.95294 0.95294 0.95294 RG 20.58 w 28.35 746.8 m 229.46 746.8 l S 0.001 w 1 1 1 RG 20.58 w 231.71 746.8 m 581.74 746.8 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 723.97 m 229.46 723.97 l S 0.001 w 1 1 1 RG 20.58 w 231.71 723.97 m 581.74 723.97 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 701.14 m 229.46 701.14 l S 0.001 w 1 1 1 RG 20.58 w 231.71 701.14 m 581.74 701.14 l S 0.001 w 0.95294 0.95294 0.95294 RG 20.58 w 28.35 678.31 m 229.46 678.31 l S 0.001 w 1 1 1 RG 20.58 w 231.71 678.31 m 581.74 678.31 l S 0.001 w [] 0 d 2.25 w 0.75294 0.75294 0.75294 RG 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 758.22 m 583.94 758.22 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 735.39 m 583.94 735.39 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 712.55 m 583.94 712.55 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 689.72 m 583.94 689.72 l S 0.001 w [] 0 d [] 0 d 2.25 w 26.14 666.9 m 583.94 666.9 l S 0.001 w [] 0 d [] 0 d 2.25 w 27.22 759.29 m 27.22 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 230.59 759.29 m 230.59 665.82 l S 0.001 w [] 0 d [] 0 d 2.25 w 582.86 759.29 m 582.86 665.82 l S 0.001 w [] 0 d /F1 12 Tf BT 1 0 0 1 31.2 742.03 Tm (Document Purpose:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 742.03 Tm (Inspection Report)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 719.2 Tm (Author:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 719.2 Tm (Care Quality Commission)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 696.37 Tm (Audience:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 696.37 Tm (General Public)Tj ET /F1 12 Tf BT 1 0 0 1 31.2 673.54 Tm (Further copies from:)Tj ET /F1 12 Tf BT 1 0 0 1 234.56 673.54 Tm (0870 240 7535)Tj ET /F1 12 Tf BT 1 0 0 1 335.41 673.54 Tm (\(telephone order line\))Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 652.59 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 638.01 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 623.42 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 78.9 w 25.8 581.46 m 563.3 581.46 l S 0.001 w /F1 12 Tf BT 1 0 0 1 34.05 605.84 Tm (Our duty to regulate social care services is set out in the Care Standards Act 2000.)Tj ET /F1 12 Tf BT 1 0 0 1 34.05 591.27 Tm (Copies of the National Minimum Standards )Tj ET /F1 12 Tf BT 1 0 0 1 303.94 591.27 Tm (Care Homes for Older People can be )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 576.68 Tm (found at www.dh.gov.uk or got from The Stationery Office \(TSO\) PO Box 29, St )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 562.1 Tm (Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from )Tj ET /F1 12 Tf BT 1 0 0 1 34.05 547.53 Tm (the Stationery Office is also available: www.tso.co.uk/bookshop)Tj ET /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 526.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 509.36 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 494.79 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 480.2 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr 34.16 w 25.8 460.61 m 563.3 460.61 l S 0.001 w /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 31.2 455.08 Tm (Helpline:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 420.92 Tm (Telephone:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 147.95 420.92 Tm (03000 616161)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 389.27 Tm (Email:)Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 99.55 389.27 Tm (enquiries@cqc.org.uk)Tj ET /F1 20 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 357.61 Tm (Web: )Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 20 Tf BT 1 0 0 1 88.63 357.61 Tm (www.cqc.org.uk)Tj ET /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 327.95 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 18 Tf BT 0 0 0 RG 0.5 w 2 Tr 1 0 0 1 28.35 299.21 Tm ()Tj ET 0.75294 0.75294 0.75294 RG 0.001 w 0 Tr /F1 12 Tf BT 1 0 0 1 28.35 276.5 Tm (We want people to be able to access this information. If you would like a summary in a )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 259 Tm (different format or language please contact our helpline or go to our website.)Tj ET /F1 18 Tf BT 1 0 0 1 28.35 232.98 Tm ()Tj ET /F1 12 Tf BT 1 0 0 1 28.35 210.26 Tm (Copyright \(2009\) Care Quality Commission \(CQC\). This publication may be reproduced )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 192.76 Tm (in whole or in part, free of charge, in any format or medium provided that it is not used for )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 175.27 Tm (commercial gain. This consent is subject to the material being reproduced accurately and )Tj ET /F1 12 Tf BT 1 0 0 1 28.35 157.77 Tm (on proviso that it is not used in a derogatory manner or misleading context. 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dup 29 /.notdef put dup 30 /.notdef put dup 31 /.notdef put dup 32 /space put dup 33 /exclam put dup 34 /quotedbl put dup 35 /numbersign put dup 36 /dollar put dup 37 /percent put dup 38 /ampersand put dup 39 /quotesingle put dup 40 /parenleft put dup 41 /parenright put dup 42 /asterisk put dup 43 /plus put dup 44 /comma put dup 45 /hyphen put dup 46 /period put dup 47 /slash put dup 48 /zero put dup 49 /one put dup 50 /two put dup 51 /three put dup 52 /four put dup 53 /five put dup 54 /six put dup 55 /seven put dup 56 /eight put dup 57 /nine put dup 58 /colon put dup 59 /semicolon put dup 60 /less put dup 61 /equal put dup 62 /greater put dup 63 /question put dup 64 /at put dup 65 /A put dup 66 /B put dup 67 /C put dup 68 /D put dup 69 /E put dup 70 /F put dup 71 /G put dup 72 /H put dup 73 /I put dup 74 /J put dup 75 /K put dup 76 /L put dup 77 /M put dup 78 /N put dup 79 /O put dup 80 /P put dup 81 /Q put dup 82 /R put dup 83 /S put dup 84 /T put dup 85 /U put dup 86 /V put dup 87 /W put dup 88 /X put dup 89 /Y put dup 90 /Z put dup 91 /bracketleft put dup 92 /backslash put dup 93 /bracketright put dup 94 /asciicircum put dup 95 /underscore put dup 96 /grave put dup 97 /a put dup 98 /b put dup 99 /c put dup 100 /d put dup 101 /e put dup 102 /f put dup 103 /g put dup 104 /h put dup 105 /i put dup 106 /j put dup 107 /k put dup 108 /l put dup 109 /m put dup 110 /n put dup 111 /o put dup 112 /p put dup 113 /q put dup 114 /r put dup 115 /s put dup 116 /t put dup 117 /u put dup 118 /v put dup 119 /w put dup 120 /x put dup 121 /y put dup 122 /z put dup 123 /braceleft put dup 124 /bar put dup 125 /braceright put dup 126 /asciitilde put dup 127 /.notdef put dup 128 /Euro put dup 129 /.notdef put dup 130 /quotesinglbase put dup 131 /florin put dup 132 /quotedblbase put dup 133 /ellipsis put dup 134 /dagger put dup 135 /daggerdbl put dup 136 /circumflex put dup 137 /perthousand put dup 138 /Scaron put dup 139 /guilsinglleft put dup 140 /OE put dup 141 /.notdef put dup 142 /.notdef put dup 143 /.notdef put dup 144 /.notdef put dup 145 /quoteleft put dup 146 /quoteright put dup 147 /quotedblleft put dup 148 /quotedblright put dup 149 /bullet put dup 150 /endash put dup 151 /emdash put dup 152 /tilde put dup 153 /trademark put dup 154 /scaron put dup 155 /guilsinglright put dup 156 /oe put dup 157 /.notdef put dup 158 /.notdef put dup 159 /Ydieresis put dup 160 /space put dup 161 /exclamdown put dup 162 /cent put dup 163 /sterling put dup 164 /currency put dup 165 /yen put dup 166 /brokenbar put dup 167 /section put dup 168 /dieresis put dup 169 /copyright put dup 170 /ordfeminine put dup 171 /guillemotleft put dup 172 /logicalnot put dup 173 /hyphen put dup 174 /registered put dup 175 /overscore put dup 176 /degree put dup 177 /plusminus put dup 178 /twosuperior put dup 179 /threesuperior put dup 180 /acute put dup 181 /mu1 put dup 182 /paragraph put dup 183 /middot put dup 184 /cedilla put dup 185 /onesuperior put dup 186 /ordmasculine put dup 187 /guillemotright put dup 188 /onequarter put dup 189 /onehalf put dup 190 /threequarters put dup 191 /questiondown put dup 192 /Agrave put dup 193 /Aacute put dup 194 /Acircumflex put dup 195 /Atilde put dup 196 /Adieresis put dup 197 /Aring put dup 198 /AE put dup 199 /Ccedilla put dup 200 /Egrave put dup 201 /Eacute put dup 202 /Ecircumflex put dup 203 /Edieresis put dup 204 /Igrave put dup 205 /Iacute put dup 206 /Icircumflex put dup 207 /Idieresis put dup 208 /Eth put dup 209 /Ntilde put dup 210 /Ograve put dup 211 /Oacute put dup 212 /Ocircumflex put dup 213 /Otilde put dup 214 /Odieresis put dup 215 /multiply put dup 216 /Oslash put dup 217 /Ugrave put dup 218 /Uacute put dup 219 /Ucircumflex put dup 220 /Udieresis put dup 221 /Yacute put dup 222 /Thorn put dup 223 /germandbls put dup 224 /agrave put dup 225 /aacute put dup 226 /acircumflex put dup 227 /atilde put dup 228 /adieresis put dup 229 /aring put dup 230 /ae put dup 231 /ccedilla put dup 232 /egrave put dup 233 /eacute put dup 234 /ecircumflex put dup 235 /edieresis put dup 236 /igrave put dup 237 /iacute put dup 238 /icircumflex put dup 239 /idieresis put dup 240 /eth put dup 241 /ntilde put dup 242 /ograve put dup 243 /oacute put dup 244 /ocircumflex put dup 245 /otilde put dup 246 /odieresis put dup 247 /divide put dup 248 /oslash put dup 249 /ugrave put dup 250 /uacute put dup 251 /ucircumflex put dup 252 /udieresis put dup 253 /yacute put dup 254 /thorn put dup 255 /ydieresis put readonly def currentdict end currentfile eexec oc;jtD[2^t$cdreYjRZb@e F>" F+$l `v .H֢T)&wa{vIt%Նswg,lonrMWWIZ7p6\5JHrtPb E~1Cew|;d}Tym8 B Tc gPUcOx {OqqQF4-UټXODU8o\kswKami%ޗﶥB$S/1LW~'T^<T4PX+ԯ({A34.KUĖn%*R_g!g(F4%ٸD K~ɕy8e!lcx# |< -}^^i(XlŨ3K a[y3E7Oz,߉1N6+Pj)cpS-mR\7߃Ra0bRTl,SQYKO׏C8y'߭sU5d}DҰMۭT[I[(㏭AK9%+,E B`6P( :8|NoYo>XImF;:Bŀÿ Kt,!fa"X0*Im Srߋ{8w;Ҵ+DIZy41Żp m`Z# 2;7aޗ8~$6<+p Uk!i͢m~~ I[z)*a0wmNQ ^\تw?@ċ=0}Ơ6YWUfo&|*aGѤrvʧ:q9h@) 6u%sBo$N?J6(Ah:m~\ZXݐ^NR(>^;:i~f6{'Y &'W|-}犁$$S Cp`Ӎ+Wǧ`q4{W_E&9YXs1sZQ<*`(SaD~e 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